Dr. Emily Carter
General Practitioner
Greenwood Health Clinic
123 Elm Street
Springfield, IL, 62701
(555) 123-4567
dremilycarter@greenwoodhealth.com
1 November 2024
Dr. John Smith
Cardiologist
Heart Care Associates
456 Oak Avenue
Springfield, IL, 62701
Dear Dr. John Smith,
Re: Advice and Guidance Referral for Michael Johnson, 15 March 1980
I am writing to seek your advice and guidance regarding the management of Michael Johnson, a 44-year-old male who presents with persistent chest pain and shortness of breath. He has a history of hypertension and hyperlipidemia, and he underwent coronary artery bypass grafting in 2018. He is currently on atorvastatin and lisinopril. He has no known drug allergies.
Social History:
- Michael is a non-smoker and consumes alcohol occasionally. He works as an accountant and lives with his family.
Clinical Findings:
- Recent ECG showed ST-segment depression. Echocardiogram revealed mild left ventricular hypertrophy.
Current Management:
- Michael is currently on a low-sodium diet and is advised to engage in regular physical activity. He is also taking aspirin daily.
Specific Questions/Concerns:
- Could you provide your opinion on the need for further cardiac investigations or adjustments in his current medication regimen?
I would greatly appreciate your expert opinion on the following:
- Recommendations for additional diagnostic tests or treatment modifications.
Thank you for your time and assistance in this matter. Please do not hesitate to contact me if you require any further information.
Yours sincerely,
Dr. Emily Carter
General Practitioner
(555) 123-4567
[Clinician's Name]
[Clinician's Title]
[Clinician's Practice Name]
[Practice Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]
[Date]
[Recipient's Name]
[Recipient's Title]
[Recipient's Practice Name]
[Practice Address]
[City, State, ZIP Code]
Dear [Recipient's Name],
Re: Advice and Guidance Referral for [Patient's Name], [Patient's Date of Birth]
I am writing to seek your advice and guidance regarding the management of [Patient's Name], a [age]-year-old [gender] who presents with [describe current issues, reasons for referral, history of presenting complaints, etc.] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank).
Relevant Medical History:
- [describe past medical history, previous surgeries] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
- [mention medications and herbal supplements] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
- [mention allergies] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
Social History:
- [describe social history] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
Clinical Findings:
- [describe relevant clinical findings, examination results, and investigations] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
Current Management:
- [describe current management plan, treatments, and interventions] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
Specific Questions/Concerns:
- [list specific questions or concerns for the recipient to address] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
I would greatly appreciate your expert opinion on the following:
- [specific advice or guidance being sought] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank)
Thank you for your time and assistance in this matter. Please do not hesitate to contact me if you require any further information.
Yours sincerely,
[Clinician's Name]
[Clinician's Title]
[Clinician's Contact Information]
